2022-05-16T16:13:35-05:00 2021-06-30 ERNST & YOUNG US LLP 201 NORTH FRANKLIN ST STE 2400 TAMPA FL 33602 990 2020-07-01 520591612 Frederick Health Hospital Inc % HANNAH R JACOBS FRED 2405663000 400 WEST SEVENTH STREET FREDERICK MD 21701 MICHELLE MAHAN CFO 2405663350 2022-05-13 true MICHELLE MAHAN XXX-XX-XXXX MELANIE A MCPEAK 8132254800 2022-05-12 3 2020 2022-09-23 18:48:47Z THOMAS A KLEINHANZL 400 WEST SEVENTH STREET FREDERICK MD 21701 502718569 false X WWW.FREDERICKHEALTH.ORG X 1897 MD TO POSITIVELY IMPACT THE WELL-BEING OF EVERY INDIVIDUAL IN OUR COMMUNITY. 18 15 3061 329 672816 0 12909204 14123721 359487890 401077347 4334685 23432513 573479 41288 377305258 438674869 50000 0 0 0 177525717 194650075 58500 36000 522563 179127119 189822978 356761336 384509053 20543922 54165816 636115056 696031572 382167934 368824007 253947122 327207565 X TO POSITIVELY IMPACT THE WELL-BEING OF EVERY INDIVIDUAL IN OUR COMMUNITY. false false 40949876 0 78940644 ADULT INPATIENT SERVICES IN FY 2021, FREDERICK HEALTH HOSPITAL'S INPATIENT MEDICAL-SURGICAL DEPARTMENTS PROVIDED QUALITY, PATIENT-CENTERED CARE, REGARDLESS OF ABILITY TO PAY, TO APPROXIMATELY 17,143 INPATIENTS AND OBSERVATION PATIENTS. MAJOR MEDICAL AND SURGICAL SERVICES INCLUDE CARDIOLOGY, CONGESTIVE HEART FAILURE, POST-CARDIAC CATHETERIZATION, CENTER FOR CHEST PAIN, HEMODIALYSIS, PERITONEAL DIALYSIS, NEUROLOGY, NEUROSURGERY, PULMONOLOGY, ONCOLOGY, ORTHOPEDICS, GENERAL MEDICINE AND SURGICAL CARE. INPATIENT CARE IS SUPPORTED BY A TEAM OF BOARD CERTIFIED PHYSICIAN HOSPITALISTS. IN ADDITION, FHH IS DESIGNATED AS A PRIMARY STROKE CENTER BY THE MARYLAND INSTITUTE OF EMERGENCY MEDICAL SERVICE SYSTEMS (MIEMSS) AND IS RECOGNIZED WITH THE STROKE CENTER GOLD PERFORMANCE AWARD BY THE AMERICAN HEART ASSOCIATION. OUR BARIATRIC SURGICAL PROGRAM IS ACCREDITED BY THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY AS A BARIATRIC SURGERY CENTER OF EXCELLENCE. IN ADDITION TO THE PROGRAM SERVICE EXPENSES LISTED HERE, FHH INCURRED $54.9 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA. 31055412 0 69019134 PERIOPERATIVE SERVICES FREDERICK HEALTH HOSPITAL'S PERIOPERATIVE SERVICES PROVIDED HIGH QUALITY CARE TO 8,594 SURGICAL AND ENDOSCOPY PATIENTS IN FISCAL YEAR 2021. PROCEDURES WERE PERFORMED IN OUR STATE OF THE ART FACILITY WHICH INCLUDES A DEDICATED IMAGING ROOM FOR VASCULAR AND OTHER PROCEDURES. WE HAVE PARTICIPATED IN THE SCIP QUALITY IMPROVEMENT PROJECT FOR CONTINUAL IMPROVEMENTS IN CARE FOLLOWING EVIDENCE BASED MEDICINE. WE TRACKED OUR PATIENT SATISFACTION THROUGH PRESS GANEY TO BENCHMARK OUR RESULTS TO THE NATIONAL DATA BASE. IN ADDITION TO THE PROGRAM SERVICES EXPENSE LISTED HERE, FHH INCURRED $54.9 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA. 24822122 0 49840428 CLINICAL LABORATORY FREDERICK HEALTH HOSPITAL'S clinical laboratory plays a vital role across the entire continuum of health care both within the hospital and the community. Clinical laboratory testing heavily impacts clinical decision making by providing physicians, nurses and other health care providers with important information needed for the prevention, diagnosis, treatment and management of disease. Up to 85 percent of diagnosis and treatment decisions are based on laboratory results. Laboratory test results comprise about 70 percent of the average patient's medical record. Virtually every practicing physician depends upon the clinical laboratory for the care of his or her patient. Frederick Health Hospital Laboratory performed over 1.6 million billable laboratory tests including 150,000 COVID-19 PCR tests. 232269387 0 202290201 329096797 true true false true false false false false false true true false true true true false false true false false true false false true false false true true false false true true false false false false false false false false true true true false false false false true true true false false true 296 0 true 3061 true true true false false false false false false false false false true false X 18 15 false false true false true true true true true false true true true true true true true true true true true true MD X HANNAH R JACOBS 2405663350 400 WEST SEVENTH STREET FREDERICK MD 21701 X Thomas A Kleinhanzl PRESIDENT AND CEO 40.0 8.0 X X 1365568 0 367705 Michelle K Mahan SR VP AND CFO 40.0 6.0 X 807351 0 83054 Manuel A Casiano SVP POPULATION HEALTH 14.0 26.0 X 540819 0 67362 Cheryl L Cioffi SVP COO 14.0 26.0 X 493126 0 67968 Mihir Jani MD DIRECTOR/PHYSICIAN 2.0 40.0 X 0 482351 29171 Mary A Mcdonald Medical Dir Hospice 4.0 36.0 X 360316 0 29710 Mary D Barton VP-BUSINESS DEVELOP. & STRAT. 30.0 10.0 X 332675 0 19072 Christopher M Bumbaugh VP HUMAN RESOURCES 30.0 10.0 X 321952 0 28352 Donald R Schilling VP AMBULATORY SERVICES 6.0 34.0 X 321221 0 27857 Jackie L Rice VP Chief Information Officer 33.0 7.0 X 307819 0 13928 Jennifer G Teeter VP CLINICAL INTEGRATION 16.0 24.0 X 294285 0 25331 Kathy J Weishaar VP Medical Affairs & CMO 40.0 2.0 X 282587 0 22962 Heather R Kirby VP Integrated Care & CPHO 36.0 4.0 X 278641 0 25364 Tamara L Kile Medical Director 40.0 0.0 X 274961 0 26691 Hannah R Jacobs VP FINANCE 33.0 7.0 X 275949 0 23026 Diane M McFarland Chief Nursing Officer 40.0 0.0 X 282238 0 13139 Craig F Rosendale VP & Chief Compliance Officer 40.0 0.0 X 265102 0 24316 Dustin M Simonson Chief Physicist Supv 40.0 0.0 X 244325 0 28857 Jamie B White VP Quality Assurance & CQO 40.0 0.0 X 241776 0 16150 Michael G Mclane Jr VP SUPPORT SVCS 33.0 7.0 X 224071 0 24184 Carlos T Graveran DIRECTOR OF HOSPICE 24.0 16.0 X 220127 0 22378 Robin R Rose VP DEVELOPMENT 40.0 0.0 X 199549 0 25143 Changan Xie Rad Oncology Medical Phys 40.0 0.0 X 206220 0 10686 GERRIT SCHIPPER MD DIRECTOR/physician 2.0 0.0 X 6313 0 0 ALLEN D MAWDSLEY Director 2.0 2.0 X 0 0 0 Cornelius Fay Director (ended 9/30/20) 2.0 0.0 X 0 0 0 DARYL BOFFMAN Director 2.0 0.0 X 0 0 0 Debra Borden Director (ended 9/30/20) 2.0 0.0 X 0 0 0 Douglas Stauffer Director 2.0 2.0 X 0 0 0 ELIZABETH PAKENAS SECRETARY/TREASURER 2.0 2.0 X X 0 0 0 Gerald Winnan MD DIRECTOR (ended 9/30/20) 1.0 3.0 X 0 0 0 Gordon Cooley DIRECTOR 2.0 0.0 X 0 0 0 HONORABLE STEPHEN JOHNSON VICE CHAIRMAN 2.0 1.0 X X 0 0 0 J Frederick Manning CHAIRMAN 1.0 2.0 X X 0 0 0 KARLYS KLINE DIRECTOR 2.0 0.0 X 0 0 0 Kaschit Pandya DIRECTOR 2.0 0.0 X 0 0 0 Laura Melia DIRECTOR (ended 9/30/20) 2.0 4.0 X 0 0 0 MANO KOILPILLAI DIRECTOR 2.0 0.0 X 0 0 0 Nancy Newmister DIRECTOR 2.0 0.0 X 0 0 0 NIKKI MOBERLY DIRECTOR 2.0 0.0 X 0 0 0 PATRICIA HANBERRY DIRECTOR 2.0 0.0 X 0 0 0 Patricia L Ray DIRECTOR 4.0 0.0 X 0 0 0 Terrence McPherson DIRECTOR (ended 9/30/20) 2.0 0.0 X 0 0 0 THOMAS MUNRO MD VC OF STAFF/physician 5.0 0.0 X 0 0 0 8146991 482351 1022406 224 false true false TXTEAM REHAB INC 9101 WESLEYAN RD SUITE 100 INDIANAPOLIS IN 46268 REHAB SERVICES 8511619 SOUND PHYSICIANS PO BOX 742936 LOS ANGELES CA 90074 PHYSICIAN SERVICES 3947504 QUEST DIAGNOSTICS PO BOX 740709 ATLANTA GA 30374 LABORATORY SERVICES 2674467 BLACKTREE HEALTHCARE CONSULTING ONE FAYETTE STREET SUITE 425 CONSHOHOCKEN PA 19428 REVENUE CYCLE MGMT 1202884 CRITICAL CARE ASSOCIATES LLC 10711 RED RUN BLVD SUITE 101 OWINGS MILLS MD 21117 PHYSICIAN SERVICES 1169458 57 12361067 1762654 43576 14123721 INPATIENT REVENUE 624110 214408049 214408049 0 0 OUTPATIENT REVENUE 621410 184025918 184025918 0 0 ALL OTHER PROGRAM SERVICE 525990 2643380 2643380 0 0 401077347 4016125 672816 3343309 0 0 1028228 1028228 0 1028228 1028228 76443870 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240916285 169326844 190454663 0 0 51317774 41335598 0 0 32369283 59296481 636115056 696031572 49075187 57701830 0 0 0 0 118839613 113909588 0 0 0 0 93875000 93875000 0 0 120378134 103337589 382167934 368824007 X 246269549 317424195 7677573 9783370 253947122 327207565 636115056 696031572 X 54165816 23022758 0 0 0 -3928131 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 21890 21890 false SCHEDULE C, PART II-B, LINE 1I EXPENSE IS A PORTION OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION, MARYLAND HOSPITAL ASSOCIATION, NATIONAL ASSOCIATION FOR HOME CARE AND HOSPICE, NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION AND THE HOSPICE AND PALLIATIVE CARE NETWORK OF MARYLAND. 976177 976177 976177 976177 976177 976177 976177 976177 976177 976177 1.00000 false false 2793774 2793774 274512094 126895794 147616300 29430438 18566023 10864415 292045684 235214152 56831532 22810264 0 22810264 240916285 INVESTMENTS IN SUBSIDIARIES 20087086 F ASSETS LIMITED AS TO USE 21248512 F 41335598 RIGHT OF USE ASSETS 16839205 RETROSPECTIVE INSURNCE PREMIUM 8693949 INTERCOMPANY RECEIVABLES 33763327 59296481 0 RIGHT OF USE LIABILITIES 21089400 ADVANCES FROM THIRD PARTIES 64039742 PENSION LIABILITY 360143 INTEREST RATE SWAP 7665796 AR CREDIT LIABILITY 3637000 MALPRACTICE LIABILITY 3709997 OTHER LIABILITIES 2835511 103337589 Intended use of endowment funds SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS ARE USED FOR HEALTH CARE SERVICES. Central America and the Caribbean 1 Investments 28844034 Central America and the Caribbean 1 Program Services SELF INSURANCE 4295423 2 2 33139457 33139457 true false true false false false X X X X X X X true PRIDE PHILANTHROPY 885 WOODSTOCK ROAD ROSWELL GA 300752374 DEV CNSL SV SRVCS false 36000 36000 MD true true true X true X 500. true true true false true true 4826790 4826790 0.01260 59181873 53025008 6156865 0.01600 64008663 53025008 10983655 0.02860 4483275 493522 3989753 0.01040 12503 0 12503 15211842 15211842 0.03960 413876 91721 322155 0.00080 128675 128675 0.00030 20250171 585243 19664928 0.05110 84258834 53610251 30648583 0.07970 false 10349696 776227 142021720 129988376 12033344 X true true 1 1 FREDERICK HEALTH HOSPITAL INC 400 WEST SEVENTH STREET FREDERICK MD 21701 WWW.FREDERICKHEALTH.ORG 10001 X X X FREDERICK HEALTH HOSPITAL INC 1 false false true X X X X X X X X X 19 true false true true X SEE PART V, SECTION C X true 19 true SEE PART V, SECTION C false true X 200. 500. X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X true X false X X X X true X false false INPUT FROM COMMUNITY REPRESENTATIVES SCHEDULE H, PART V, SECTION B, LINE 5 THE CHNA WAS CONDUCTED BY THE FREDERICK COUNTY HEALTH CARE COALITION, WITH SUPPORT FROM FREDERICK HEALTH HOSPITAL AND FREDERICK COUNTY HEALTH DEPARTMENT. THE HEALTH CARE COALITION IS LED BY A COMMUNITY ADVISORY BOARD COMPRISED OF ORGANIZATIONS AND INDIVIDUALS WITH EXPERTISE IN HEALTH SERVICE DELIVERY, EVALUATION AND PUBLIC HEALTH. A PRIMARY RESPONSIBILITY OF THE COALITION IS TO CONDUCT PERIODIC HEALTH STATUS ASSESSMENTS USING APPROPRIATE PLANNING METHODOLOGIES AND SUBJECT MATTER EXPERTS TO GUIDE THE PLANNING PROCESS. THE CHNA PROCESS INCLUDED THE COLLECTION OF QUANTITATIVE AND QUALITATIVE DATA TO UNDERSTAND THE HEALTH HABITS, PRIORITIES AND ACCESS TO CARE BARRIERS OF THE COMMUNITY AT LARGE, AND AMONG VULNERABLE AND HEALTH DISPARITY POPULATIONS WITHIN FREDERICK COUNTY. THE DATA COLLECTION PROCESS WAS DESIGNED TO SOLICIT INPUT FROM REPRESENTATIVE SAMPLES OF DEMOGRAPHICS, GEOGRAPHIC DISTRIBUTION AND TARGETED POPULATIONS. PUBLIC INPUT WAS OBTAINED THROUGH THREE FORMAL MECHANISMS - COMMUNITY SURVEY, POPULATION-SPECIFIC FOCUS GROUPS AND ADVOCATES FOR HEALTH EQUITY FORUM. THE COMMUNITY SURVEY WAS CONDUCTED VIA WEB, WITH AN OPTION TO COMPLETE A WRITTEN SURVEY FOR THOSE WITHOUT INTERNET ACCESS. THE SURVEY CONSISTED OF 30 QUESTIONS, WHICH INCLUDED DEMOGRAPHICS, PERCEPTIONS OF COMMUNITY HEALTH STATUS, ACCESS TO HEALTH CARE, PERSONAL HEALTH CONDITION, EXERCISE AND HEALTHY EATING HABITS AND HEALTH SCREENING & PREVENTION BEHAVIORS. THE WEB SURVEY WAS AVAILABLE IN ENGLISH AND SPANISH; WRITTEN SURVEYS WERE AVAILABLE IN ENGLISH, SPANISH AND VIETNAMESE. THE SELECTION OF LANGUAGE OPTIONS WAS BASED ON COUNTY DEMOGRAPHICS AS REPORTED TO LOCAL GOVERNMENT. PARTNER ORGANIZATIONS WERE ENGAGED TO PROMOTE THE SURVEY AND TO PROVIDE ASSISTANCE TO THOSE WHO HAD LITERACY OR LANGUAGE BARRIERS. PRESS RELEASES, AS WELL AS WEB AND SOCIAL MEDIA OUTLETS WERE ALSO UTILIZED TO PROMOTE THE SURVEY TO THE COMMUNITY, YIELDING A STATISTICALLY RELEVANT SAMPLE OF 1657 RESPONSES. OVERALL, SURVEY RESPONDENTS REFLECTED THE RACIAL AND ETHNICITY COMPOSITION OF THE POPULATION OF FREDERICK COUNTY. FOUR FOCUS GROUPS WERE CONDUCTED ON POPULATIONS FOR WHICH THERE WAS HEALTH DISPARITY OUTCOME DATA. TWO OF THE FOCUS GROUP POPULATIONS WERE IDENTIFIED IN THE PRIOR CHNA AS HAVING ACCESS CONCERNS. THE FOCUS GROUPS INCLUDED AFRICAN-AMERICAN RESIDENTS, SPANISH SPEAKING RESIDENTS, NORTHERN FREDERICK COUNTY RESIDENTS AND HOMELESS/LOW INCOME RESIDENTS. THE GOAL OF THE FOCUS GROUP WAS TO GAIN INSIGHT ON HOW TO MORE EFFECTIVE PREVENT OR DELIVERY SERVICES/INTERVENTIONS WHICH WOULD REDUCE HEALTH DISPARITIES. FOCUS GROUP PARTICIPANTS WERE RECRUITED BY PARTNER ORGANIZATIONS THAT PROVIDE DIRECT SERVICES OR SUPPORT THE TARGET POPULATION. IN GENERAL, FOCUS GROUP PARTICIPANTS WERE LOWER INCOME, OLDER, AND OF POORER HEALTH THAN THE COMMUNITY POPULATION. FINALLY, A HEALTH EQUITY SURVEY WAS CONDUCTED TO CAPTURE FURTHER INFORMATION ON POTENTIAL VULNERABLE OR OTHER SUB-POPULATIONS IN THE COMMUNITY FOR WHICH HEALTH OUTCOME DATA WAS LIMITED. EIGHT RESPONDENTS PARTICIPATED IN THE HEALTH EQUITY SURVEY WITH INSIGHTS ON ACCESS TO CARE AND SUGGESTIONS FOR IMPROVING THE HEALTH OF THE COMMUNITIES THEY SERVE. THE ADVOCATES REPRESENTED ALICE (ASSET LIMITED, INCOME CONSTRAINED, EMPLOYED), DISABLED, HISPANIC, HOMELESS, LBGTQ, SENIORS AND YOUTH POPULATIONS. SCHEDULE H, PART V, SECTION B, LINE 6B THE CHNA WAS CONDUCTED BY THE FREDERICK COUNTY HEALTH CARE COALITION, WITH SUPPORT FROM FREDERICK HEALTH HOSPITAL AND THE FREDERICK COUNTY HEALTH DEPARTMENT. THE COALITION IS A NONPROFIT ORGANIZATION FORMED IN 2006 IN RESPONSE TO A NEED TO COORDINATE EFFORTS TO ADDRESS BARRIERS TO HEALTH CARE ACCESS. THE COALITION IS LED BY A COMMUNITY ADVISORY BOARD COMPRISED OF ORGANIZATIONS AND INDIVIDUALS WITH EXPERTISE IN HEALTH SERVICE DELIVERY, EVALUATION AND PUBLIC HEALTH ISSUES. FREDERICK HEALTH HOSPITAL IS A FOUNDING MEMBER OF THE COALITION AND SERVES ON THE BOARD. A PRIMARY RESPONSIBILITY OF THE COALITION IS TO CONDUCT PERIODIC HEALTH STATUS ASSESSMENTS, AND TO CONVENE INTERESTED PARTIES AND THE PUBLIC TO ESTABLISH A LOCAL HEALTH IMPROVEMENT PLAN TO ADDRESS THE TOP HEALTH PRIORITIES. A HEALTH IMPROVEMENT PRIORITY PLANNING SUMMIT WAS HELD ON JANUARY 15, 2019 WITH MORE THAN 120 COMMUNITY PARTICIPANTS. THE SUMMIT INCLUDED REPRESENTATIVES OF COMMUNITY ORGANIZATIONS, BUSINESS, GOVERNMENT, ADVOCATES AND CITIZENS WHO PROVIDED INPUT INTO THE CHNA PRIORITIES. PARTICIPANTS INCLUDED: - HEALTH CARE (INCLUDING PROVIDERS OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES) - BROOK LANE HEALTH SERVICES, MISSION OF MERCY, CONTINUUM RECOVERY CENTER, MENTAL HEALTH ASSOCIATION OF FREDERICK COUNTY, MARYLAND HEROIN AWARENESS ADVOCATES - LOCAL GOVERNMENT/LAW ENFORCEMENT - OFFICE OF THE FREDERICK COUNTY EXECUTIVE, FREDERICK COUNTY GOVERNMENT (INCLUDING CITIZENS SERVICES, FIRE AND RESCUE SERVICES, FAMILY PARTNERSHIP, CHILDREN AND FAMILIES, SUSTAINABILITY AND ENVIRONMENTAL RESOURCES, PARKS AND RECRECREATION) AND FREDERICK COUNTY SHERIFF - SOCIAL SERVICES ORGANIZATIONS - FREDERICK COMMUNITY ACTION AGENCY (ALSO A FEDERALLY QUALIFIED HEALTH CENTER), FREDERICK COUNTY DEPARTMENT OF SOCIAL SERVICES - NONPROFIT ORGANIZATIONS - ASIAN AMERICAN CENTER OF FREDERICK, BOYS & GIRLS CLUB OF FREDERICK, CHILDREN OF INCARERATED PARENTS PARTNERSHIP, COMMUNITY COLLABORATION CENTER, CORE SERVICE AGENCY, THE FREDERICK CENTER, THE RANCH, WELLS HOUSE, YMCA OF FREDERICK COUNTY - EDUCATIONAL INSTITUTIONS - FREDERICK COUNTY PUBLIC SCHOOLS, HOOD COLLEGE, STUDENT HOMELESS INTIIATIVE PARTNERSHIP, UNIVERSITY OF MARYLAND EXTENSION SERVICE - PHILANTROPHY - THE UNITED WAY OF FREDERICK COUNTY, THE COMMUNITY FOUNDATION OF FREDERICK, HOPE FOUNDATION, ZETA PHI BETA SORORITY, DELTA SIGMA THETA SORORITY - BUSINESS - FREDERICK COUNTY CHAMBER OF COMMERCE, LEIDOS BIOMEDICAL RESEARCH, MASTERS SPECIALTY PHARMACY, THE FREDERICK NEWS POST, RESTORATION FAMILY CHIROPRACTIC - RELIGIOUS ORGANIZATIONS - SETON CENTER, THE RELIGIOUS COALITION FOR EMERGENCY NEEDS, THE CHURCH OF THE NAZARENE, CROSSED BRIDGES, - SENIOR CARE- ADVOCATES FOR THE AGING IN FREDERICK COUNTY, FREDERICK COUNTY SENIOR SERVICES DIVISION, SENIOR SERVICES ADVISORY BOARD - COMMUNITY REPRESENTATIVES - EAST FREDERICK RISING, GIRLS ON THE RUN MID-MARYLAND, AND GENERAL PUBLIC. SCHEDULE H, PART V, SECTION B, LINE 7A YES, THE CHNA IS WIDELY AVAILABLE TO THE PUBLIC ON THE HEALTH SYSTEM WEBSITE (HTTPS://WWW.FREDERICKHEALTH.ORG/DOCUMENTS/CONTENT/2019-FREDERICK-COUNTY-C HNA-FINAL-5.1.19.PDF), FREDERICK COUNTY HEALTH DEPARTMENT WEBSITE AND LIVEWELL FREDERICK, A COMMUNITY HEALTH WEBSITE. PUBLIC FORUMS WERE CONDUCTED IN SEVERAL LOCATIONS WITHIN FREDERICK COUNTY TO REVIEW THE STUDY FINDINGS AND TO ADDRESS PUBLIC QUESTIONS. ADDITIONALLY, THE INTERIM CHNA REPORT WAS POSTED ON THE HEALTH SYSTEM AND FREDERICK COUNTY HEALTH DEPARTMENT WEBSITES FOR PUBLIC COMMENT PRIOR TO FINALIZATION. SCHEDULE H, PART V, SECTION B, LINE 10A HTTPS://WWW.FREDERICKHEALTH.ORG/DOCUMENTS/CONTENT/FMH-CHNA-IMPLEMENTATION- STRATEGY-SIGNED-9-24-19.PDF SCHEDULE H, PART V, SECTION B, LINE 11 THREE CHNA PRIORITIES WERE IDENTIFIED IN THE 2019 ASSESSMENT: - CHRONIC CONDITIONS - BEHAVIORAL HEALTH - ADVERSE CHILDHOOD EXPERIENCES AND INFANT HEALTH FREDERICK HEALTH HOSPITAL HAS ADOPTED IMPLEMENTATION STRATEGIES AROUND THESE INITIATIVES, AS DESCRIBED BELOW. STRATEGIES RELATED TO CHRONIC CONDITIONS FOCUS ON TWO TARGET OPPORTUNITIES: 1. CHRONIC DISEASE SCREENING IN DISPARITY COMMUNITIES. THE GOAL IS TO INCREASE EARLY SCREENING IN POPULATIONS EXPERIENCING A HEALTH DISPARITY TO REDUCE THE INCIDENCE OF, AND MORTALITY FROM, CHRONIC DISEASES. ACTIVITIES PLANNED TO MEET THIS GOAL ARE TO INCREASE THE NUMBER OF PERSONS SCREENED AND TREATED FOR COLORECTAL CANCER AND HYPERTENSION; ENGAGE PROVIDERS AT COMMUNITY AWARENESS EVENTS; AND, INCREASE LONG TERM PREVENTIVE FOLLOW-UP RATES IN DISPARITY COMMUNITIES. 2. HEALTHY EATING AND LIVING PRACTICES. THE GOAL OF THIS INITIATIVE IS TO REDUCE UNHEALTHY BEHAVIORS AND INCREASE HEALTHY BEHAVIOR CHOICES AS EVIDENCED BY THE 2020 YOUTH RISK BEHAVIOR SURVEY (YRBS) IN FREDERICK COUNTY. TO MEET THIS OBJECTIVE FREDERICK COUNTY YOUTH AND FAMILIES WILL DEMONSTRATE HEALTHY EATING AND BEHAVIOR PRACTICES BY PARTICIPATING IN ACTIVITIES OFFERED THROUGH LIVEWELL FREDERICK'S 5-2-10 PROGRAM. ESTABLISHMENT OF EFFECTIVE, TARGETED RESPONSES TO BEHAVIORAL HEALTH NEEDS THROUGH IMPLEMENTATION OF DATA DRIVEN PLANNING AND TREATMENT PROCESSES WAS THE FOCUS OF COLLABORATIVE EFFORTS BETWEEN FREDERICK HEALTH HOSPITAL AND ITS COMMUNITY PARTNERS. AN AREA OF FOCUS SPECIFIC TO FREDERICK HEALTH HOSPITAL WAS IMPLEMENTING A MEDICATION ASSISTED TREATMENT (MAT) PROTOCOL FOR OPOID USE DISORDER IN THE EMERGENCY DEPARTMENT. EFFORTS TO ESTABLISH THIS PROTOCOL INCLUDED DEVELOPMENT OF PATIENT SCREENING TOOLS TO GUIDE TREATMENT WITH BUPRENOPHRINE(SUBOXONE) AND TO ESTABLISH RELEATIONSHIPS WITH COMMUNITY TREATMENT PROGRAMS TO CONTINUE THE THERAPY ONCE THE INDIVIDUAL IS DISCHARGED BACK INTO THE COMMUNITY. UNFORTUNATELY, DUE TO THE COVID PANDEMIC FHH WAS UNABLE IMPLEMENT THIS STRATEGY. PROMOTION OF HEALTH PRACTICES TO DIMINISH ADVERSE CHILDHOOD EVENTS (ACES) WAS THE FOCUS OF THE FINAL IMPLEMENTATION STRATEGY. ACTIVITIES WERE DESIGNED TO ESTABLISH A BASELINE AWARENESS OF CHILDHOOD TRAUMA AND ITS LIFELONG EFFECT ON THE INDIVIDUAL IN THE HEALTH COMMUNTIY. EARLY INTERVENTION MEASURES DESIGNED TO DIMINISH THE PREVALENCE OF CHILDHOOD TRAUMA INCLUDED THE ESTABLISHMENT OF A FACILITATED PERINATAL MOOD DISORDER SUPPORT GROUP AT FREDERICK HEALTH HOSPITAL. POST PARTUM WOMEN WHO WERE IDENTIFIED AS AT RISK FOR DEVELOPING PREGNANCY RELATED MENTAL HEALTH DISORDERS WERE INVITED TO PARTICIPATE IN THIS ACTIVITY (PLACED ON HOLD IN 2021 DUE TO THE PANDEMIC). IN ADDITION TO DECREASING THE FREQUENCY OF CHILDHOOD TRAUMA IN CHILDREN BORN TO THESE MOTHERS, IT ALSO SUPPORTS SUICIDE PREVENTION, AN IDENTIFIED BEHAVIORAL HEALTH NEED. FREDERICK HEALTH HOSPITAL ALSO SUPPORTS INFANT HEALTH THROUGH A COLLABORATION WITH OUR COMMUNITY PARTNERS AT THE FREDERICK COUNTY HEALTH DEPARTMENT IN A PROJECT TO IMPLEMENT UNIVERSAL NEWBORN HOME VISITS FOR ALL INFANTS RESIDING IN FREDERICK COUNTY. OTHER SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THIS PROCESS INCLUDED BREAST AND ORAL CANCERS, MELANOMA, HIV, SEXUALLY TRANSMITTED INFECTIONS, AND ALCOHOL AND TOBACCO USE. THESE HEALTH ISSUES WERE NOT SELECTED AS HEALTH PRIORITIES FOR THE LOCAL HEALTH IMPROVEMENT PLAN, WHICH IS THE COMMUNITY-WIDE IMPLEMENTATION PLAN ASSOCIATED WITH THE CHNA. HOWEVER, FREDERICK HEALTH HOSPITAL DOES PROVIDE DIAGNOSIS AND TREATMENT OF PATIENTS WITH CANCER, HIV, SEXUALLY TRANSMITTED DISEASE AND ALCOHOL AND SUBSTANCE EMERGENCY DETOXIFICATION. IN ADDITION, THE HOSPITAL OFFERS SMOKING CESSATION CLASSES AND ACCESS TO NICOTINE RELACEMENT THERAPY TO DIMINISH TOBACCO USE. SCHEDULE H, PART V, SECTION B, LINE 13H STATE REGULATIONS. SCHEDULE H, PART V, SECTION B, LINE 16A https://www.frederickhealth.org/documents/content/Financial-Assistance-Pol icy-FN-100.pdf SCHEDULE H, PART V, SECTION B, LINE 16B https://www.frederickhealth.org/documents/content/FrederickHealth_FA_327a. pdf SCHEDULE H, PART V, SECTION B, LINE 16C https://www.frederickhealth.org/documents/content/Financial-Assistance_08_ 20_Web.pdf SCHEDULE H, PART V, SECTION B, LINE 16J FHH REVIEWS THE FINANCIAL ASSISTANCE POLICY (FAP) AND THE COMMUNICATION METHODOLOGY WE EMPLOY ON A REGULAR BASIS TO MAKE SURE OUR PATIENTS HAVE EASY ACCESS TO THIS INFORMATION IN A VARIETY OF FORMATS AND THAT IT IS CULTURALLY AND LINGUISTICALLY SENSITIVE. WE REVIEW THE FAP TO MAKE SURE THE READING COMPREHENSION LEVEL IS APPROPRIATE FOR OUR AUDIENCE AND WE PROVIDE ENGLISH AND SPANISH VERSIONS TO MEET THE NEEDS OF OUR CBSA. WE HAVE SERVICES AVAILABLE TO PROVIDE ANY OTHER LANGUAGES WHEN NEEDED. THE FAP IS SHOWN ON OUR WEBSITE (https://www.frederickhealth.org/about/billing-financial-assistance/) AND IS OFFERED TO PATIENTS AS PART OF THE INTAKE PROCESS AT TIME OF REGISTRATION IN THE HOSPITAL AND IN THE EMERGENCY DEPARTMENT. OUR BILLING STATEMENTS REFERENCE OUR FINANCIAL ASSISTANCE POLICY AND INCLUDE THE URL FOR THE ONLINE VERSION. THE BILLING STATEMENTS INCLUDE DETAILED EXPLANATION OF THE FAP. FHH PROVIDES ASSISTANCE TO OUR PATIENTS WHO NEED TO APPLY FOR GOVERNMENT BENEFITS WHEN APPROPRIATE. MOST COMMON EXAMPLES ARE "SELF-PAY" INPATIENTS WHO ADMIT THROUGH THE EMERGENCY DEPARTMENT AND PATIENTS WHO COME TO OUR PRENATAL CLINIC. WE HAVE A DEPARTMENT OF SOCIAL SERVICES REPRESENTATIVE ONSITE AT OUR PRENATAL CLINIC TO WORK DIRECTLY WITH THE PATIENTS. ALL PATIENTS RECEIVE THE PATIENT INFORMATION SHEET, AVAILABLE IN ENGLISH AND SPANISH, WHICH INCLUDES INFORMATION ABOUT FINANCIAL ASSISTANCE. 6 FREDERICK HEALTH TOLL HOUSE 501 WEST SEVENTH STREET FREDERICK MD 21701 OUTPATIENT HEALTH CARE FREDERICK HEALTH MOUNT AIRY 504 E RIDGEVILLE BLVD MOUNT AIRY MD 21771 OUTPATIENT HEALTH CARE FREDERICK HEALTH ROSEHILL 1562 OPPOSUMTOWN PIKE FREDERICK MD 21702 OUTPATIENT HEALTH CARE FREDERICK HEALTH CRESTWOOD 7211 BANK COURT FREDERICK MD 21703 OUTPATIENT HEALTH CARE FREDERICK HEALTH ASPEN RIDGE 163 THOMAS JOHNSON DRIVE SUITE A FREDERICK MD 21702 OUTPATIENT HEALTH CARE FREDERICK HEALTH URBANA 3430 WORTHINGTON BLVD URBANA MD 21704 OUTPATIENT HEALTH CARE Criteria for Determining eligibility for free or discounted care SCHEDULE H, PART I, LINE 3C IF THE PATIENT/GUARANTOR'S MONETARY ASSETS ARE ABOVE $25,000, LESS THAN 100% FINANCIAL ASSISTANCE MAY BE PROVIDED. THE FINANCIAL ASSISTANCE COMMITTEE WILL REVIEW THESE CASES AND DETERMINE THE FINANCIAL ASSISTANCE AMOUNT. UP TO $150,000 OF PRIMARY RESIDENCE EQUITY IS EXEMPT FROM CONSIDERATION. COMMUNITY BENEFIT REPORT - RELATED ORGANIZATION SCHEDULE H, PART I, LINE 6 THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY THE FREDERICK COUNTY HEALTH CARE COALITION (COALITION) TO IDENTIFY HEALTH ISSUES IN FREDERICK COUNTY AND TO PROVIDE CRITICAL INFORMATION TO THOSE IN A POSITION TO TAKE POSITIVE STEPS THAT WILL IMPACT THE HEALTH OF AREA RESIDENTS. THE COALITION IS A NONPROFIT ORGANIZATION FORMED IN 2006 IN RESPONSE TO A NEED TO COORDINATE EFFORTS TO ADDRESS BARRIERS TO HEALTH CARE ACCESS. THE COALITION'S MISSION IS TO PROMOTE QUALITY HEALTH CARE IN FREDERICK COUNTY THROUGH COLLECTIVE IMPACT EFFORTS THAT ENGAGE LOCAL ORGANIZATIONS AND CITIZENRY. A CORE RESPONSIBILITY OF THE COALITION IS THE COMPLETION OF A PERIODIC ASSESSMENT THAT INFORMS AND ENGAGES THE COMMUNITY IN HEALTH IMPROVEMENT INITIATIVES. THE ASSESSMENT PROCESS IS REPEATED EVERY THREE YEARS TO REFLECT CHANGING LOCAL CONDITIONS. Text of bad debt expense footnote SCHEDULE H, PART III, LINE 4 BAD DEBT VALUATION WAS CALCULATED USING THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2. WE ESTIMATE APPROXIMATELY 7.5% OF BAD DEBT EXPENSE IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER OUR FINANCIAL ASSISTANCE POLICY. WE CONTINUE OUR EFFORTS TO QUALIFY PATIENTS FOR FREE OR REDUCED CARE. Medicare Costing Methodology SCHEDULE H, PART III, LINE 8 MEDICARE PS&R REPORTS USED AS SOURCE OF COSTS AND PAYMENTS. Application of Collection Practices to those Qualifying for Financial Assistance SCHEDULE H, PART III, LINE 9B PATIENTS WHO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE SPECIFICALLY EXCLUDED FROM THE COLLECTION PROCESS. NEEDS ASSESSMENT SCHEDULE H, PART VI, LINE 2 THE CHNA PLANNING PROCESS WAS LED BY AN AD-HOC PLANNING COMMITTEE COMPRISED OF HEALTH CARE COALITION BOARD MEMBERS AND SENIOR STAFF FROM FREDERICK HEALTH HOSPITAL AND FREDERICK COUNTY HEALTH DEPARTMENT. THIS GROUP HAD OVERSIGHT RESPONSIBILITY FOR THE CHNA PROCESS AND REVIEWED THE PLANNING COMPONENTS AS THEY WERE ACCOMPLISHED. ADDITIONALLY, A CHNA DATA SUB-COMMITTEE WAS FORMED TO CONDUCT THE DETAILED DATA ANALYSIS, WHICH WAS THEN REPORTED TO THE CHNA PLANNING COMMITTEE. THE 2019 CHNA INCLUDED COLLATION OF DATA FROM PRIMARY (QUALITATIVE) AND SECONDARY (QUANTITATIVE) SOURCES. FOUR INPUTS WERE IDENTIFIED FOR INCLUSION IN THE DATA ANALYSIS. THREE OF THE INPUTS PROVIDE INSIGHTS ABOUT THE PERSPECTIVE AND PRIORITY OF HEALTH ISSUES AND SOCIAL DETERMINANTS BY THE FREDERICK COUNTY POPULATION. THE FOURTH INPUT INCLUDES HEALTH OUTCOME INDICATORS GATHERED FROM RELIABLE PUBLIC RESOURCES, AND WHERE POSSIBLE, INCLUDES DATA ON HEALTH DISPARITIES. THE CHNA PROCESS BEGAN WITH A COMMUNITY SURVEY AVAILABLE TO ANY ADULT (OVER 18 YEARS OF AGE) FREDERICK COUNTY RESIDENT. THE SURVEY WAS DESIGNED TO ASSESS RESPONDENTS' PERSONAL HEALTH STATUS, HEALTH RISK BEHAVIORS, AND PREVENTIVE HEALTH PRACTICES. THE SURVEY WAS DISTRIBUTED IN THREE PRIMARY LANGUAGES USED BY COUNTY RESIDENTS. THE NEXT STEP IN THE CHNA PROCESS FOCUSED ON INPUT FROM VULNERABLE AND KNOWN HEALTH DISPARITY POPULATIONS AS GATHERED VIA FOUR FOCUS GROUPS. THE FOCUS GROUPS WERE CONDUCTED BY A QUALITATIVE RESEARCH FIRM AND THE GOAL WAS TO DELVE DEEPER INTO HEALTH BEHAVIORS AND ACCESS ISSUES IN THE TARGETED POPULATIONS, IN ORDER TO LEARN HOW TO MORE EFFECTIVELY TAILOR SERVICES AND INTERVENTIONS THAT WILL RESULT IN A REDUCTION IN HEALTH DISPARITIES. FINALLY, A HEALTH EQUITY SURVEY WAS DEVELOPED TO IDENTIFY ISSUES AND OPPORTUNITIES IN COUNTY POPULATIONS FOR WHICH THERE WAS INSUFFICIENT DATA. THE ADVOCATES REPRESENTED ALICE (ASSET LIMITED, INCOME CONSTRAINED, EMPLOYED), DISABLED, HISPANIC, HOMELESS, LGBTQ, SENIORS, AND YOUTH POPULATIONS. SECONDARY DATA WAS GATHERED ON 45 HEALTH INDICATORS. THE DATA WAS SOURCED FROM FEDERAL AND STATE VITAL STATISTICS, HEALTH REPORTS AND DATABASES. HEALTH OUTCOME DATA WAS REVIEWED FOR THE MOST RECENT TIME PERIOD, AS WELL AS TRENDS OVER TIME THAT WOULD INDICATE CHANGES IN CONDITION. THE QUALITATIVE AND QUANTITATIVE INFORMATION COLLECTIVELY INFORMS LOCAL ADVOCACY EFFORTS AND CAN BE USED FOR PROGRAM PLANNING. COMMUNITY SURVEY AND SECONDARY DATA WERE COMPILED FOR THE PRIORITIZATION COMPONENT OF THE CHNA PROCESS. A MODIFIED PRIORITIZATION MATRIC METHOD WAS USED FOR PRIORITIZATION OF THE DATA ACROSS SEVERAL CRITERIA IN ORDER TO NARROW DOWN THE INFORMATION INTO THE TOP HEALTH CONCERNS. THE INFORMATION WAS ALSO SYNTHESIZED INTO A CONSUMER-FRIENDLY PRESENTATION FOR PUBLIC INPUT THROUGH A LOCAL HEALTH SETTING SUMMIT. SUMMIT PARTICIPANTS, REPRESENTING MORE THAN 120 ORGANIZATIONS AND PUBLIC, NARRROWED DOWN THE HEALTH CONCERNS INTO THE TOP THREE PRIORITIES, OF WHICH TWO WERE CONTINUATIONS OF PRIOR CHNA PRIORITIES. THE CHNA PROCESS DID INCLUDE A REVIEW OF FOUR OTHER RECENT COMMUNITY ASSESSMENTS. THE ASSESSMENTS INCLUDED THE COUNTY COMPREHENSIVE PLAN, A REGIONAL REPORT ON HEALTH INEQUITY, A HUMAN SERVICES ASSESSMENT AND COUNTY ECONOMIC ASSESSMENT. FINDINGS AND ISSUES EMPHASIZED IN THESE ASSESSMENTS WERE SIMILAR TO CONCERNS EXPRESSED BY THE PUBLIC IN THE CHNA PROCESS. THESE ASSESSMENTS WERE CONSIDERED MOST USEFUL FOR THE COMMUNITY HEALTH PRIORITY WORKGROUPS AS THEY IDENTIFY TARGET POPULATIONS AND DESIGN IMPLEMENTATION STRATEGIES. SCHEDULE H, PART VI, LINE 4 FREDERICK HEALTH HOSPITAL'S SERVICE AREA IS DEFINED IN A WRITTEN AGREEMENT WITH THE MARYLAND HEALTH SERVICES COST REVIEW COMMISSION, THE DESIGNATED STATE ENTITY CHARGED WITH OVERSIGHT OF COMMUNITY BENEFIT. THE SERVICE AREA IS DETERMINED BASED ON HISTORICAL FACILITY UTILIZATION BY ZIP CODE. THE SERVICE AREA DEFINITION FOR FREDERICK HEALTH HOSPITAL IS ALL ZIP CODES IN FREDERICK COUNTY. THEREFORE, FOR CHNA PLANNING PURPOSES, FREDERICK COUNTY IS THE POPULATION SERVED. FREDERICK HEALTH HOSPITAL INC. IS THE ONLY HOSPITAL IN FREDERICK COUNTY. PATIENT ORIGIN DATA INDICATE THAT THE HOSPITAL SERVES ALL GEOGRAPHIC LOCATIONS WITHIN FREDERICK COUNTY. THE MOST VULNERABLE POPULATIONS (AS IDENTIFIED BY INCOME AND OTHER SOCIAL DETERMINANT INDICATORS) IS LOCATED IN FREDERICK CITY, WHICH IS IN THE HOSPITAL'S PRIMARY SERVICE AREA. THE IMMEDIATE AREA ADJACENT TO THE HOSPITAL'S PHYSICAL LOCATION IS A MEDICALLY UNDERSERVED AREA AS DESIGNATED BY HRSA. THE SECONDARY SERVICE AREA INCLUDES ADDITIONAL VULNERABLE POPULATIONS IN THE NORTHERN (THURMONT) AND SOUTHERN (BRUNSWICK) AREAS OF FREDERICK COUNTY. UNITED STATES CENSUS BUREAU AND MARYLAND VITAL STATISTICS PROVIDE A DEMOGRAPHIC PROFILE OF FREDERICK COUNTY RESIDENTS AS OF JULY 1, 2019: - POPULATION OF 259,547 - 50.7% OF RESIDENTS ARE FEMALE - 80.7% ARE WHITE - MEDIAN HOUSEHOLD INCOME OF $97,730 PER YEAR - 5.7% OF HOUSEHOLDS ARE BELOW THE FEDERAL POVERTY GUIDELINES - 5.6% OF COUNTY RESIDENTS ARE UNINSURED - 15% OF RESIDENTS ARE MEDICAID RECIPIENTS. - 14.8% OF RESIDENTS ARE OVER THE AGE OF 65 - 92.5 % HAVE GRADUATED FROM HIGH SCHOOL AND 41.4 % OF RESIDENTS HAVE BACHELOR'S DEGREES. PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI, LINE 5 DURING FY 2021, FREDERICK HEALTH HOSPITAL PROMOTED COMMUNITY HEALTH THROUGH THE FOLLOWING INITIATIVES: (TAKEN FROM THE FY HSCRC COMMUNITY BENEFIT REPORT) - CARE TRANSITIONS PROGRAM - THIS PROGRAM PROVIDES INTENSIVE COMMUNITY-BASED CARE MANAGEMENT SERVICES TO INDIVIDUALS WITH CHRONIC CONDITIONS AND THOSE WITH LIMITED ACCESS TO CARE, LOW HEALTH LITERACY AND OTHER SOCIAL DETERMINANTS OF HEALTH TO REDUCE UNNECESSARY HOSPITAL UTILIZATION AND IMPROVE INDIVIDUAL HEALTH STATUS. BY PROVIDING INFASTRUCTUE TO SUPPORT SOME OF THE MOST CHRONICALLY ILL, FRAGILE AND SOCIALLY COMPLEX PATIENT POPULATIONS, HOSPITAL READMISSION RATES CAN BE REDUCED. HISTORICALLY, THESE PATIENTS RECEIVED LITTLE OR NO GUIDANCE RELATIVE TO FOLLOW-UP WITH PHYSICIANS, FILLING AND TAKING THEIR PRESCRIBED MEDICATIONS, AND MAKING APPOINTMENT FOR OTHER SERVICES. PATIENTS IDENTIFIED AS HIGH EMERGENCY DEPARTMENT UTILIZERS, AND/OR PATIENTS RETURNING TO THE HOSPITAL WITHIN 30 DAYS OF DISCHARGE MEET WITH AN RN OR SOCIAL WORK CASE MANAGER IN AN EFFORT TO UNDERSTAND WHY THEY HAVE RETURNED TO THE HOSPITAL FOR CARE. AN INDIVIDUALIZED COMPREHENSIVE POST DISCHARGE PLAN IS CREATED TO MEET THE SPECIFIC PATIENT NEEDS. THE SERVICES OFTEN INCLUDE FINANCIAL SUPPORT OF MEDICATIONS, TRANSPORTATION AND VARIOUS OTHER MEDICAL AND SOCIAL SUPPORT SERVICES IN THE COMMUNITY. IN FY 2021 1978 UNIQUE PATIENTS RECEIVED HOME/COMMUNITY BASED INTERVENTIONS FROM THE CARE TRANSITIONS TEAM, FOR A TOTAL OF 8,818 ENCOUNTERS. THE HEALTH CARE TEAM PROVIDING SERVICES TO THESE INDIVIDUALS CONSISTS OF REGISTERED NURSES, SOCIAL WORKERS, PHARMACISTS, DIETITIANS AND A NURSE PRACTITIONER. - COLORECTAL CANCER SCREENING - THIS PROGRAM FOCUSED ON IDENTIFIED DISPARITY COMMUNITIES WITHIN FREDERICK COUNTY, PRIMARILY THE AFRICAN X X X X X false true false false false false false false false Thomas A Kleinhanzl PRESIDENT AND CEO 824793 0 537421 0 3354 0 348489 0 19216 0 1733273 0 0 0 Michelle K Mahan SR VP AND CFO 544932 0 252513 0 9906 0 67196 0 15858 0 890405 0 0 0 Manuel A Casiano SVP POPULATION HEALTH 429792 0 105879 0 5148 0 55408 0 11954 0 608181 0 0 0 Cheryl L Cioffi SVP COO 400747 0 91209 0 1170 0 50806 0 17162 0 561094 0 0 0 Mary A Mcdonald Medical Dir Hospice 334493 0 25547 0 276 0 14000 0 15710 0 390026 0 0 0 Mary D Barton VP-BUSINESS DEVELOP. & STRAT. 268727 0 58800 0 5148 0 12948 0 6124 0 351747 0 0 0 Christopher M Bumbaugh VP HUMAN RESOURCES 260941 0 57657 0 3354 0 13100 0 15252 0 350304 0 0 0 Donald R Schilling VP AMBULATORY SERVICES 262356 0 53717 0 5148 0 13702 0 14155 0 349078 0 0 0 Jackie L Rice VP Chief Information Officer 253152 0 53635 0 1032 0 12728 0 1200 0 321747 0 0 0 Jennifer G Teeter VP CLINICAL INTEGRATION 238775 0 52156 0 3354 0 11866 0 13465 0 319616 0 0 0 Kathy J Weishaar VP Medical Affairs & CMO 231068 0 50484 0 1035 0 10689 0 12273 0 305549 0 0 0 Heather R Kirby VP Integrated Care & CPHO 225860 0 51611 0 1170 0 10112 0 15252 0 304005 0 0 0 Tamara L Kile Medical Director 251473 0 23087 0 401 0 10254 0 16437 0 301652 0 0 0 Hannah R Jacobs VP FINANCE 225592 0 49187 0 1170 0 9798 0 13228 0 298975 0 0 0 Diane M McFarland Chief Nursing Officer 231080 0 49364 0 1794 0 11757 0 1382 0 295377 0 0 0 Craig F Rosendale VP & Chief Compliance Officer 209552 0 45644 0 9906 0 10161 0 14155 0 289418 0 0 0 Dustin M Simonson Chief Physicist Supv 242937 0 1114 0 274 0 12425 0 16432 0 273182 0 0 0 Jamie B White VP Quality Assurance & CQO 200110 0 40496 0 1170 0 8881 0 7269 0 257926 0 0 0 Michael G Mclane Jr VP SUPPORT SVCS 183185 0 40106 0 780 0 9034 0 15150 0 248255 0 0 0 Carlos T Graveran DIRECTOR OF HOSPICE 193545 0 26066 0 516 0 6856 0 15522 0 242505 0 0 0 Robin R Rose VP DEVELOPMENT 160687 0 35508 0 3354 0 8442 0 16701 0 224692 0 0 0 Changan Xie Rad Oncology Medical Phys 205978 0 0 0 242 0 9415 0 1271 0 216906 0 0 0 Mihir Jani MD DIRECTOR/PHYSICIAN 0 409680 0 72311 0 360 0 14000 0 15171 0 511522 0 0 SCHEDULE J, PART I, LINE 3 THE EXECUTIVE COMPENSATION PROGRAM IS DESIGNED TO CARRY OUT THE HEALTH SYSTEM MISSION, TO ACHIEVE THE CHARITABLE PURPOSE, TO ATTRACT, RETAIN, MOTIVATE AND REWARD EXECUTIVE MANAGEMENT, AND TO MAINTAIN A COMPETITIVE POSITION WITH PEER ORGANIZATIONS IN THE REGION. OVERSIGHT OF THE EXECUTIVE COMPENSATION PROGRAM IS PROVIDED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD, COMPOSED OF THE BOARD CHAIRMAN, VICE CHAIRMAN, IMMEDIATE PRECEDING CHAIRMAN, CHAIRMAN OF THE FINANCE COMMITTEE AND THE CHAIRMAN OF THE GOVERNANCE COMMITTEE. IN ADDITION TO THE BOARD'S COMPENSATION COMMITTEE, WE UTILIZED AN EXTERNAL INDEPENDENT CONSULTANT AND MARKET SURVEYS FOR ALL EXECUTIVE MANAGEMENT COMPENSATION. THE PRESIDENT AND CEO HAS A WRITTEN EMPLOYMENT CONTRACT. SCHEDULE J, PART I, LINE 4B FREDERICK HEALTH HOSPITAL HAS ONE 457(F) NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR CERTAIN MEMBERS OF SENIOR MANAGEMENT. UNDER THE PLAN, THEY MAY CONTRIBUTE AMOUNTS FROM THEIR COMPENSATION TO THE PLAN AND MAY RECEIVE A DISCRETIONARY EMPLOYER CONTRIBUTION. EMPLOYEES ARE FULLY VESTED IN ALL EMPLOYEE CONTRIBUTIONS TO THE PLAN. VESTING IN EMPLOYER CONTRIBUTIONS OCCURS IN ACCORDANCE WITH THE UNDERLYING PLAN DOCUMENTS. ALL ASSETS OF THE PLAN ARE HELD IN A SEPARATE TRUST. TOTAL HOSPITAL CONTRIBUTIONS TO THIS PLAN WERE AS FOLLOWS: MICHELLE K. MAHAN $33,696 THOMAS A. KLEINHANZL $314,989 MANUEL A. CASIANO $22,624 CHERYL L. CIOFFI $22,556 A MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2020A 520936091 57421CAD6 2020-06-25 66050074 SEE PART VI false false false B MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2012A 520936091 574218LY7 2012-12-05 96240000 SEE PART VI false false false C MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2017B 520936091 2017-06-15 60645000 SEE PART VI false false false A 0 0 66050074 0 0 0 1159217 0 0 23823814 24890857 16176186 true false false true B 8655000 86290000 108345805 0 1648756 0 1203561 0 0 37200000 68293488 0 2014 true false true true C 0 0 67991181 0 352666 0 0 0 0 69292334 0 0 2017 true false true true A false false false false 0 false false false true B false true true true true true 0.00640 0.00640 false false false true C false true true true true true 0.00270 0.00270 false false false true A false true false false 0 false 0 true true B false false false false 0 false 0 false true C false false true true false 0 false 0 false true A true B true C true DESCRIPTION OF PURPOSE SCHEDULE K, PART I, COLUMN F, LINE A MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2020A: CURRENT REFUND 2017A BONDS ON 6/25/2020, FINANCE 2020 PROJECT AND PAY ISSUANCE COSTS. SCHEDULE K, PART I, COLUMN F, LINE B MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2012A: FINANCE 2012 PROJECT AND CURRENT REFUND 2002 BONDS WHICH FUNDED THE 2002 PROJECT. A REFUNDING ESCROW HAS BEEN ESTABLISHED WITH PROCEEDS OF TAXABLE DEBT TO REDEEM 86,290,000 OF 2012A BONDS ON JULY 1, 2022. MARYLAND HEALTH & HIGHER EDU FACILITIES AUTH 2017B: TO REFUND THE 2012B BONDS. SCHEDULE K, PART II, COLUMN B, LINE 3 DIFFERENCE BETWEEN ISSUE PRICE AND TOTAL PROCEEDS MARYLAND HEALTH & HIGHER ED AUTHORITY 2012A: ORIGINAL ISSUE PREMIUM OF $3,989,854 AND PREVIOUSLY TRUSTEED HELD FUNDS OF $8,115,951. SCHEDULE K, PART III, LINE 9 THE ORGANIZATION HAS WRITTEN POLICIES AND PROCEDURES IN PLACE TO ENSURE TAX EXEMPT BOND POST ISSUANCE COMPLIANCE. CHERYL CIOFFI KEY EMPLOYEE 30598 SEE PART V false DONALD R SCHILLING KEY EMPLOYEE 14784 SEE PART V false J FREDERICK MANNING OFFICER 195324 SEE PART V false Business Transactions ALL TRANSACTIONS DISCLOSED ARE MADE AT ARMS-LENGTH AND AT FAIR MARKET VALUE IN RETURN FOR SERVICES PROVIDED. SCHEDULE L, PART IV, LINE 1, COLUMN D FAMILY MEMBER EMPLOYED BY FREDERICK HEALTH HOSPITAL, INC. AS A UNIT SECRETARY. SCHEDULE L, PART IV, LINE 2, COLUMN D FAMILY MEMBER IS EMPLOYED BY FREDERICK HEALTH MEDICAL GROUP, LLC. AS A REGISTERED NURSE. SCHEDULE L, PART IV, LINE 3, COLUMN D PAYMENTS TO MANNING BROADCASTING, INC. FOR RADIO ADVERTISING. THE REALTIONSHIP BETWEEN THE HOSPITAL AND RADIO STATION EXISTED PRIOR TO MR. MANNING OWNING THE RADIO STATION AND PRIOR TO HIM BEING ON THE BOARD OF FHH. X 487 43576 FAIR MARKET VALUE false true false DESCRIPTION OF OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES INCLUDE BEHAVIORAL HEALTH, CARDIOLOGY, SLEEP, HOSPICE & HOME CARE, IMAGING, WOMEN AND CHILDREN AND WOUND CARE. THE PROGRAM SERVICES EXPENSE LISTED HERE INCLUDE $54.9 MILLION OF GENERAL AND ADMINISTRATIVE EXPENSES IN MEETING THE HEALTH NEEDS OF OUR PRIMARY SERVICE AREA. CHANGES TO GOVERNING DOCUMENTS SINCE THE PRIOR 990 WAS FILED FORM 990, PART VI, LINE 4 ON SEPTEMBER 22, 2020, FREDERICK HEALTH HOSPITAL'S BYLAWS WERE AMENDED TO CHANGE THE COMPOSITION OF THE ORGANIZATION'S BOARD. MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS FREDERICK HEALTH, INC. POWER TO ELECT OR APPOINT MEMBERS FORM 990, PART VI, LINE 7A THE SOLE MEMBER, FREDERICK HEALTH, INC., HAS THE POWER TO APPOINT THE PRESIDENT/CEO AND THE DIRECTORS OF FREDERICK HEALTH HOSPITAL. DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINE 7B THE MEMBER, FREDERICK HEALTH, INC., MUST APPROVE THE INCURRENCE OF DEBT IF SUCH DEBT EXCEEDS A CERTAIN AMOUNT TO BE DESIGNATED BY THE MEMBER, CAPITAL EXPENDITURES EXCEEDING A CERTAIN AMOUNT TO BE DESIGNATED BY THE MEMBER, THE DECISION TO DISSOLVE OR LIQUIDATE, THE CREATION OF A SUBSIDIARY, AND AMENDMENTS TO THE BYLAWS. Process used to review the Form 990 FORM 990, PART VI, LINE 11B THE 990 IS PREPARED IN CONJUNCTION WITH OUTSIDE TAX ACCOUNTANTS AND REVIEWED BY UPPER MANAGEMENT PRIOR TO PROVIDING A COPY TO THE BOARD. A COPY OF FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD PRIOR TO FILING. MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY FORM 990, PART VI, LINE 12C THE FREDERICK HEALTH HOSPITAL, INC. BOARD OF DIRECTORS IS COMMITTED TO MEETING ITS FIDUCIARY RESPONSIBILITIES AND MAINTAINING ITS DUTY OF LOYALTY TO THE HOSPITAL AND THE COMMUNITY IT SERVES. TO THIS END, THE BOARD WILL EXERCISE VIGILANCE IN IDENTIFYING ANY CONFLICTS OF INTEREST. THE BOARD WILL ALSO MAINTAIN TRANSPARENCY AND OBJECTIVITY IN MAKING DECISIONS ABOUT CONFLICTS OF INTEREST SO THAT THE ORGANIZATION'S MISSION IS ALWAYS THE FIRST PRIORITY. THE CHAIRPERSON (OR VICE CHAIRPERSON IF THE CHAIR IS INVOLVED) WILL NOTIFY ALL DIRECTORS OF A REPORTED CONFLICT OF INTEREST AND DECIDE WHETHER TO TAKE THE MATTER TO THE FULL BOARD TO DECIDE WHETHER A CONFLICT EXISTS AND, IF SO, WHAT ACTION TO TAKE, OR WILL REFER THE MATTER TO THE GOVERNANCE COMMITTEE FOR AN IN-DEPTH EXAMINATION, SUMMARY, AND RECOMMENDATION PRIOR TO A FULL BOARD DISCUSSION AND DECISION. IF TIME IS OF THE ESSENCE, THE CHAIRPERSON OR VICE CHAIRPERSON WILL TAKE THE MATTER TO THE EXECUTIVE COMMITTEE FOR DISCUSSION AND A DECISION, AND WILL THEN NOTIFY THE FULL BOARD. WHERE A CONFLICT OF INTEREST HAS BEEN IDENTIFIED, THE BOARD MEMBER SHALL NOT VOTE OR BE PRESENT FOR THE DISCUSSION OR THE VOTE REGARDING THE TRANSACTION AT THE FULL BOARD, EXECUTIVE COMMITTEE, OR GOVERNANCE COMMITTEE MEETINGS, EXCEPT TO ANSWER QUESTIONS THAT MAY BE ASKED OF HIM OR HER. TO PREVENT ACTUAL OR PERCEIVED INFLUENCE ON THE BOARD'S DECISION, THE CONFLICTED MEMBER IS PROHIBITED, AFTER INITIAL DISCLOSURE, FROM DISCUSSING THE CONFLICT OF INTEREST EITHER FORMALLY OR INFORMALLY WITH FELLOW DIRECTORS OR WITH MEMBERS OF THE MANAGEMENT. THERE WILL BE AN ANNUAL REVIEW OF ALL BOARD MEMBERS AND OFFICERS TRANSACTIONS PREPARED BY THE ADMINISTRATION AND REVIEWED BY THE GOVERNANCE COMMITTEE AND THE FULL BOARD OF DIRECTORS. AT THAT TIME, ALL DIRECTORS WILL BE REMINDED OF THE IRS INTERMEDIATE SANCTIONS REGULATION THAT ESTABLISHES EXCISE TAXES AS A SANCTION AGAINST ADMINISTRATORS AND DIRECTORS OF TAX-EXEMPT ORGANIZATIONS WHO PARTICIPATE IN 'EXCESS BENEFIT TRANSACTIONS' (E.G., UNREASONABLY HIGH EMPLOYMENT COMPENSATION OR BUSINESS DEALS). PROCESS FOR DETERMINING COMPENSATION FORM 990, PART VI, LINE 15 THE EXECUTIVE COMPENSATION PROGRAM IS DESIGNED TO CARRY OUT THE HEALTH SYSTEM MISSION, TO ACHIEVE THE CHARITABLE PURPOSE, TO ATTRACT, RETAIN, MOTIVATE AND REWARD EXECUTIVE MANAGEMENT, AND TO MAINTAIN A COMPETITIVE POSITION WITH PEER ORGANIZATIONS IN THE REGION. OVERSIGHT OF THE EXECUTIVE COMPENSATION PROGRAM IS PROVIDED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD, COMPOSED OF THE BOARD CHAIRMAN, VICE CHAIRMAN, IMMEDIATE PRECEDING CHAIRMAN, CHAIRMAN OF THE FINANCE COMMITTEE AND THE CHAIRMAN OF THE GOVERNANCE COMMITTEE. IN ADDITION TO THE BOARD'S COMPENSATION COMMITTEE, WE UTILIZED AN EXTERNAL INDEPENDENT CONSULTANT AND MARKET SURVEYS FOR ALL EXECUTIVE MANAGEMENT THE PRESIDENT AND CEO HAVE A WRITTEN EMPLOYMENT CONTRACT. PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC FORM 990, PART VI, LINE 19 GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FREDERICK HEALTH HOSPITAL, INC. CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS ARE AVAILABLE AT https://www.frederickhealth.org/documents/page%20links/about/FY21210838373 93FrederickHealthIcCFSSI21-20.pdf FORM 990, PART VII DIRECTORS GERRIT SCHIPPER AND MIHIR JANI RECEIVED COMPENSATION FOR PHYSICIAN SERVICES PERFORMED AND NOT FOR SERVING ON THE BOARD. Other Changes in Net Assets Form 990, Part XI, Line 9 Unrealized Losses - Interest Rate Swap $ 2,738,526 Released from restrictions - Operating $ 159,075 Other Revenue Recon $ 49,314 Minimum Pension Adjustment $ 12,355,000 Intercompany Loan Foregiveness $(21,343,653) Change in temp restricted Net Assets $ 2,105,797 Assets Release from Restric. to Purch. capital $ 7,810 ------------ Total $ (3,928,131) FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT SERVICES TOTAL FEES:40669608 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:11239642 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:3780146 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER EXPENSES TOTAL FEES:5160289 FREDERICK HEALTH HOSPICE INC 400 WEST SEVENTH STREET FREDERICK MD 21701 521164513 HOSPICE CARE MD 501(c)(3) 10 FHH INC true FREDERICK HEALTH INC 400 WEST SEVENTH STREET FREDERICK MD 21701 454133096 HEALTH SYSTEM MD 501(c)(3) 12b NA false FREDERICK HEALTH MEDICAL GROUP LLC 400 WEST SEVENTH STREET FREDERICK MD 21701 453007639 PHYSICIAN ORG MD 501(c)(3) 10 FHI true FREDERICK HEALTH SERVICES CORPORATION 400 WEST SEVENTH STREET FREDERICK MD 21701 521851661 MGMT COMPANY MD FHI C Corp 0 0 false MONOCACY INSURANCE LTD PO BOX 1159 GRAND CAYMAN CJ KY1-1102 981011570 SELF INSURANCE CJ FHI C Corp 0 0 false true false false false false false false false false true true false false false true false true true true FREDERICK HEALTH MEDICAL GROUP LLC q 58564194 DIRECT COSTING FREDERICK HEALTH INC q 90453 DIRECT COSTING FREDERICK HEALTH MEDICAL GROUP LLC s 39870000 CASH FREDERICK HEALTH HOSPICE INC o 310961 DIRECT COSTING FREDERICK HEALTH MEDICAL GROUP LLC o 1336083 DIRECT COSTING FREDERICK HEALTH MEDICAL GROUP LLC j 2551762 FMV FREDERICK HEALTH SERVICES CORP k 519546 FMV FREDERICK HEALTH SERVICES CORP a 82000 FMV FREDERICK HEALTH INC o 1385838 DIRECT COSTING FREDERICK HEALTH VILLAGE LLC q 970936 DIRECT COSTING